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General NPI Number Information
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NPI Number | 1558373449
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Entity Type | Organization
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Legal Business Name | VILLAGE FAMILY PHARMACY INC
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Dates
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Enumeration Date | 08/12/2006
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Last Update Date | 06/01/2015
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Provider Practice Location Address
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Address Line | 31505 32 MILE RD
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City | RICHMOND
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State | MI
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Zip | 48062-5215
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Country | US
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Telephone | 586-727-0090
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Fax | 586-727-0110
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Provider Business Mailing Address
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Address Line | 31505 32 MILE RD
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City | RICHMOND
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State | MI
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Zip | 48062-5215
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Country | US
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Telephone | 586-727-0090
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Fax | 586-727-0110
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. SHANE HUSSEIN HUSSEIN A
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Credential |
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Telephone | 586-727-0090
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 5301007484
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 5301007484
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License Number State | MI
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